1.Protective strategies for one-lung ventilation.
Korean Journal of Anesthesiology 2014;67(4):233-234
No abstract available.
One-Lung Ventilation*
2.Temporary solution for one lung ventilation with isolated bronchial blocker of Univent(R) tube.
Junyong IN ; Moon Ki PARK ; Jin HAN
Korean Journal of Anesthesiology 2013;64(2):187-188
No abstract available.
One-Lung Ventilation
3.One - Lung Anesthesia of bronchoplasty using Fogarty Catheter .
Byung Youp YOUN ; Hea Kyung YANG ; Kay Yong KIM ; Cheong LEE ; Sang Chul LEE ; Byung Moon HAM ; Kwang Woo KIM
Korean Journal of Anesthesiology 1988;21(4):663-666
A method for one-lung anesthesia has been developed in which Fogarty occiusion catheter is used to produce endobronchial blockade. It eliminates most of the problems which occur with the standard technique using a doublelumen cuffed endobronchial tube. No significant problem has been endobronchial tube. No significant problem has been encountered in this bronchoplasty case. This method is so simple and effective. A standard endotracheal tube was introduced, and a Fogarty catheter was inserted through the endotracheal tube to the desired main bronchus just before the left abnormal bronchus was open. After opening the bronchus, the Fogarty catheter could be placed in the appropriate location by sight. Once one-lung ventilation was no longer necessary, the Fogarty catheter could be deflated without distrubing the endotracheal tube.
Anesthesia*
;
Bronchi
;
Catheters*
;
Lung*
;
One-Lung Ventilation
4.Right upper lobe tracheal bronchus: anesthetic challenge in one-lung ventilated patients: A report of three cases.
Dong Kyu LEE ; Young Min KIM ; Hee Zoo KIM ; Sang Ho LIM
Korean Journal of Anesthesiology 2013;64(5):448-450
Tracheal bronchus (TB) is an aberrant, accessary or ectopic bronchus arising almost exclusively from the right side of the tracheal wall above the carina. In our center, 673 bronchoscopic examinations were performed from 2009 to 2011 in patients undergoing one lung ventilation (OLV) and 3 TB were found. The incidence of a TB at bronchoscopy was 0.45% in our research, which is consistent with the reported incidence range from 0.1-5%. The clinician should consider the possibility of anomalous right upper lobe bronchus and perform bronchoscopy prior to the right bronchial blocker insertion, when left-sided OLV using bronchial blocker is planned. Also, for the patient with TB, a double lumen tube insertion is recommended than a blocker insertion to achieve OLV completely.
Bronchi
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Bronchoscopy
;
Humans
;
Incidence
;
One-Lung Ventilation
5.Tracheobronchial Rupture during Double-lumen Endobronchial Tube Insertion for One-lung Ventilation: 2 cases.
Young Deok SHIN ; Jin Ho BAE ; Sang Tae KIM ; Seung Woon LIM ; Jang Soo HONG ; Seog Jae LEE ; Jo Han RHEE
Korean Journal of Anesthesiology 1999;37(6):1149-1152
A number of complications during the use of double-lumen endobronchial tubes are reported, specifically tracheobronchial rupture, a rare but serious complication. Risk factors associated with tracheobronchial rupture include inexperienced endoscopists, intubating stylets, multiple vigorous attempts at intubation, overdistension of the tracheal or bronchial cuff with high pressure, position change with an inflated cuff, and anatomical abnormality. We report 2 cases of tracheobronchial rupture which occurred during the use of double-lumen endobronchial tubes.
Intubation
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One-Lung Ventilation*
;
Risk Factors
;
Rupture*
6.Clinical experience of one lung ventilation using an endobronchial blocker in a patient with permanent tracheostomy after total laryngectomy.
Hyun Kyoung LIM ; Hyun Soo AHN ; Hyo Jin BYON ; Mi Hyeon LEE ; Young Deog CHA
Korean Journal of Anesthesiology 2013;64(4):386-387
No abstract available.
Humans
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Laryngectomy
;
One-Lung Ventilation
;
Tracheostomy
7.The Effect of Two-Lung Ventilation Time on PaO2 during the Sequential One-Lung Ventilation.
Mi Kyung YANG ; Young Soon CHOI ; Kwhan Mien KIM
Korean Journal of Anesthesiology 1999;37(4):613-618
BACKGROUND: During bilateral transthoracic endoscopic sympathicotomy (TES), we have noticed a tendency for hypoxemia during deflation of the second lung despite adequate reinflation of the first one. This study was designed to compare PaO2 during TES of the first side with that of TES of the second side and to investigate whether PaO2 during the sequential one-lung ventilation (OLV) was correlated with two-lung ventilation (TLV) time after reinflation of the collapsed first lung. METHODS: Forty patients were randomly allocated into two groups. After TES of the first side, OLV of the second side was immediately performed after reinflation of the collapsed first lung (group A), or after 10 minutes of TLV when switching between the operated sides (group B). Arterial blood gas samples were taken at TLV before surgery, at 2 minute intervals during OLV, and during the period of TLV when switching between the operated sides. RESULTS: In group A, the significantly decreased PaO2 was observed during TES of the second side compared with TES of the first side (P < 0.01). In group B, there was no significant difference in PaO2 except 2 minutes after OLV. PaO2 during TLV and 4 and 6 minutes after OLV of the second side TES in group A significantly decreased compared with those of group B (P < 0.05). The lowest PaO2 during OLV of the second side TES was significantly lower in group A (93.5 +/- 28.7 mmHg) than in group B (154.1+/- 48.3 mmHg). CONCLUSIONS: A significantly decreased PaO2 was observed during TES of the second side, compared with TES of the first side, and time was needed after lung collapse for its full oxygenation function to recover.
Anoxia
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Humans
;
Lung
;
One-Lung Ventilation*
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Oxygen
;
Pulmonary Atelectasis
;
Ventilation*
8.The Effect of Two-Lung Ventilation Time on PaO2 during the Sequential One-Lung Ventilation.
Mi Kyung YANG ; Young Soon CHOI ; Kwhan Mien KIM
Korean Journal of Anesthesiology 1999;37(4):613-618
BACKGROUND: During bilateral transthoracic endoscopic sympathicotomy (TES), we have noticed a tendency for hypoxemia during deflation of the second lung despite adequate reinflation of the first one. This study was designed to compare PaO2 during TES of the first side with that of TES of the second side and to investigate whether PaO2 during the sequential one-lung ventilation (OLV) was correlated with two-lung ventilation (TLV) time after reinflation of the collapsed first lung. METHODS: Forty patients were randomly allocated into two groups. After TES of the first side, OLV of the second side was immediately performed after reinflation of the collapsed first lung (group A), or after 10 minutes of TLV when switching between the operated sides (group B). Arterial blood gas samples were taken at TLV before surgery, at 2 minute intervals during OLV, and during the period of TLV when switching between the operated sides. RESULTS: In group A, the significantly decreased PaO2 was observed during TES of the second side compared with TES of the first side (P < 0.01). In group B, there was no significant difference in PaO2 except 2 minutes after OLV. PaO2 during TLV and 4 and 6 minutes after OLV of the second side TES in group A significantly decreased compared with those of group B (P < 0.05). The lowest PaO2 during OLV of the second side TES was significantly lower in group A (93.5 +/- 28.7 mmHg) than in group B (154.1+/- 48.3 mmHg). CONCLUSIONS: A significantly decreased PaO2 was observed during TES of the second side, compared with TES of the first side, and time was needed after lung collapse for its full oxygenation function to recover.
Anoxia
;
Humans
;
Lung
;
One-Lung Ventilation*
;
Oxygen
;
Pulmonary Atelectasis
;
Ventilation*
9.Effect of electroacupuncture at Neiguan (PC 6) on pulmonary function during one-lung ventilation in patients with lobectomy.
Yi DING ; Sheng-Yong SU ; Ya-Li LIN ; Yi-Tong WEI ; Yuan-Chun CAI ; Jun-Dan SHI ; Si-Li GAO ; Ke-Lin MO ; Jin-Yi ZHUO
Chinese Acupuncture & Moxibustion 2021;41(6):598-602
OBJECTIVE:
To observe the protective effect of electroacupuncture (EA) at Neiguan (PC 6) on pulmonary function during one-lung ventilation (OLV) in patients with lobectomy, and explore its action mechanism.
METHODS:
Sixty patients with lobectomy were randomly divided into an observation group and a control group, 30 cases in each one. The patients in the control group were treated with general anesthesia, and OLV was given when surgery began; when the surgery finished, air was removed from the thoracic cavity and two-lung ventilation was performed. On the basis of the treatment in the control group, the patients in the observation group were treated with EA (disperse-dense wave, 2 Hz/100 Hz of frequency) at Neiguan (PC 6) 30 min before anesthesia induction until the end of the surgery. The pulmonary function indexes [arterial partial pressure of oxygen (PaO
RESULTS:
Compared with T
CONCLUSION
EA at Neiguan (PC 6) has protective effects on lung injury induced by OLV after lobectomy, and its mechanism may be related to the improvement of oxidative stress and inflammatory response.
Anesthesia, General
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Electroacupuncture
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Humans
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Lung
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Lung Injury
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One-Lung Ventilation
10.Is There Any Difference in Arterial Oxygenation between the Right and Left Thoracic Surgery under the Different One Lung Ventilation Mode?.
Chang Ho SON ; Moo Il KWON ; Keon Sik KIM ; Wha Ja KANG ; Ok Young SHIN
Korean Journal of Anesthesiology 1996;31(4):472-478
BACKGROUND: Use of one lung anesthesia for thoracic surgery may compromize PaO2. The aim of this study was to compare the shunt and oxygenation effects of the application of CPAP and CPAP/PEEP between right and left thoracic surgery under one lung anesthesia. METHODS: 10 patients for right thoracic surgery were selected as group 1, and 10 patients for left thoracic surgery were selected as group 2. Measurements in each group, were made during each of the following stage. First 30 minutes, One lung anesthesia alone with 50% oxygen (control value), next 30 minutes, CPAP 10 cmH2O to upper lung with 50% oxygen (CPAP), and then CPAP 10 cmH2O to upper lung and PEEP 10 cmH2O to down lung with 50% oxygen for 30 minutes (CPAP/PEEP). RESULTS: PaO2 in CPAP and CPAP/PEEP were significantly increased as compare to control value at both group (P<0.05). Shunt percentage in CPAP and CPAP/PEEP were significantly decreased as compare to control value at both group (P<0.05). But, no statistically significant differences were observed between right and left thoracic surgery group in the PaO2 and shunt percentage. CONCLUSIONS: We confirmed that CPAP and CPAP/PEEP during one lung ventilation is thought to be effective method in preventing hypoxemia, but no differences were observed between right and left thoracic surgery group.
Anesthesia
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Anoxia
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Humans
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Lung
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One-Lung Ventilation*
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Oxygen*
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Thoracic Surgery*